Revenue Cycle Financial Specialist, Full -Time, Days

UChicago Medicine; Burr Ridge (IL); Remote; USD 55,000 - 75,000; Full time

Job summary

A leading healthcare institution is seeking a Revenue Cycle Financial Specialist to manage patient financial processes. This remote role involves verifying insurance information, assisting patients with reimbursements, and collaborating with clinical staff. Ideal candidates will have experience in medical finance and strong communication skills. Join us to make an impact in healthcare.

Qualifications

• At least 2 years of experience in medical insurance verification or hospital finance.

Responsibilities

• Ensure preauthorizations/referrals and precertifications are completed.
• Assist patients in securing reimbursement for hospital and physician services.
• Verify benefits and coverage for scheduled services.

Skills

Problem Solving

Analytic Skills

Communication

Education

Bachelor’s degree

Tools

Windows-based PCs

Job description

Revenue Cycle Financial Specialist, Full -Time, Days

Join to apply for the Revenue Cycle Financial Specialist, Full -Time, Days role at UChicago Medicine.

This is a remote, work-from-home opportunity, and you may be based outside of the greater Chicagoland area.

Job Description

As a Revenue Cycle Financial Specialist within the Revenue Cycle - Patient Access Services Department, you will be responsible for collecting and verifying demographic, guarantor, and insurance information, as well as educating patients, physicians, staff, etc., on the financial process.

Responsibilities

• Ensure preauthorizations/referrals and precertifications are completed according to payor requirements prior to scheduled encounters.
• Collaborate with clinical staff to acquire necessary clinical information for authorization processes.
• Assist patients in securing reimbursement for hospital and physician services.
• Help patients identify and choose insurance coverage or financial assistance options.
• Work with various departments and vendors to facilitate the revenue cycle process.
• Manage different patient account types and maintain knowledge of hospital revenue cycle procedures.
• Coordinate and monitor revenue flow from hospital and clinics.
• Utilize hospital revenue systems and interact with patients, physicians, insurance companies, and staff regularly.

Essential Functions

• Perform registration functions: collect demographic, guarantor, insurance, and financial data via telephone or face-to-face.
• Verify benefits and coverage for scheduled services.
• Prioritize work based on appointment schedules to ensure timely processing.
• Obtain and document referrals/authorizations for reimbursement.
• Identify patients needing financial assistance and provide appropriate referrals.
• Assist patients with resolving account issues and managing multiple visits.
• Advise patients on rights, responsibilities, and payment procedures.
• Act as an advocate to ensure positive guest relations.
• Stay informed on relevant regulations affecting healthcare billing and insurance.
• Assist with financial assistance applications and Medicaid processes.
• Collect payments prior to services using the appropriate systems.
• Investigate charge disputes, process refunds, and make account adjustments.
• Escalate issues requiring administrative review.
• Meet productivity and quality standards and participate in audits.

Minimum Qualifications

• At least 2 years of experience in medical insurance verification or hospital finance.
• Proficiency with Windows-based PCs.
• Strong problem-solving, analytic, and financial assessment skills.
• Ability to multitask and adapt to a changing environment.
• Knowledge of accounting principles and excellent communication skills.

Preferred Qualifications

• Bachelor’s degree.

Position Details

• Full-time, 1.0 FTE.
• Day shift.
• Remote work from Burr Ridge, IL, or other locations.

Why Join Us

UChicago Medicine has been advancing medicine since 1899. We provide compassionate, innovative healthcare and value passionate, talented employees committed to excellence. Join us to make a meaningful impact and grow your career.

We are an equal opportunity employer and require COVID-19 vaccination proof, along with other pre-employment screenings.